SAMUEL LAWRENCE CLEMENTS CRNA
NPI 1487028221
Nurse Anesthetist, Certified Registered in La Crosse, WI
About Samuel Lawrence Clements Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL LAWRENCE CLEMENTS CRNA (NPI 1487028221) is an individual nurse anesthetist, certified registered in La Crosse, Wisconsin, licensed in Wisconsin (7613) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and maintains a secondary practice location in Moose Lake.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Lawrence Clements Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Samuel Clements reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1841278637 (Wisconsin)
- 1,003 clinicians in this Medicare group
Viroqua, WI 54665
- Reassigned Medicare billing, Wisconsin enrollment
- 127 clinicians in this Medicare group
Osseo, WI 54758
- Reassigned Medicare billing, Wisconsin enrollment
- 1,248 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Health System-Franciscan Medical Center Inc
Acute Care Hospitals · La Crosse, WIMayo Clinic Health System Eau Claire Hospital
Acute Care Hospitals · Eau Claire, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Clements's NPI number?
The NPI number for Samuel Clements is 1487028221. It was assigned to this individual provider in the NPPES registry on November 17, 2015.
Where is Samuel Clements located?
Samuel Clements practices at 700 West Ave S, La Crosse, WI 54601. The listed phone number is (608) 785-0940.
What is Samuel Clements's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Samuel Clements enrolled in Medicare?
Yes. Samuel Clements is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Clements's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Clements reassigns Medicare benefits to 3 organizations: Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Vernon Memorial Healthcare, Inc. (Viroqua, WI) and Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Osseo, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Clements's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Clements affiliated with any hospitals?
According to CMS data, Samuel Clements is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc and Mayo Clinic Health System Eau Claire Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Clements was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel Lawrence Clements, CRNA · NPI 1487028221
Nurse Anesthetist, Certified Registered physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since November 17, 2015.
## Identity
- **NPI:** 1487028221 (Entity type: Individual)
- **Enumerated:** November 17, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 7613 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 WEST AVE S, La Crosse, WI 54601-4783
- **Phone:** (608) 785-0940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); Vernon Memorial Healthcare, Inc. (NPI 1497750921, Viroqua, WI); Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (NPI 1083140990, Osseo, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487028221) · Data from the CMS NPPES public registry.